NOTE: THE FOLLOWING INFORMATION IS VERY IMPORTANT AND IT IS SUGGESTED YOU READ AND
UNDERSTAND THIS AGREEMENT FULLY BEFORE SIGNING.
IT IS UNDERSTOOD THAT THE OWNER OF THE ABOVE PROPERTY IS STILL RESPONSIBLE FOR THE PAYMENT OF ALL SEWER BILLS AND THAT
SHOULD ANY REMAIN UNPAID AFTER SIX MONTHS, SAID OWNER WILL BE SUBJECT TO THE LIEN PROCESS IN ORDER FOR THE CITY TO
COLLECT PAYMENT. BY SIGNING THIS AGREEMENT YOU UNDERSTAND THAT AS OWNER OF SAID PROPERTY YOU ARE ULTIMATELY
RESPONSIBLE FOR ANY AND ALL OUTSTANDING SEWER BALANCES.
WATER DEPARTMENT
1 City Hall Plaza ▪ Ellsworth, ME 04605-1942
Phone (207) 667-8632 ▪ Fax (207) 667-4908
www.ellsworthmaine.gov
SEWER COST LIABILITY AGREEMENT
I,______________________________________the owner of the property located at
_____________________________________________________________, request that all
Sewer Bills for said property be the responsibility of the tenant at:
Tenant Name: ________________________________________
Service Address: _______________________________________
_______________________________________
_______________________________________
Date__________________ Account # __________________
Owner or Representative’s Signature________________________________________________
Owner or Representative’s Printed Name____________________________________________
Representative of Sewer Department Signature_______________________________________
